Date of Conferral
5-9-2025
Date of Award
May 2025
Degree
Doctor of Healthcare Administration (D.H.A.)
School
Health Services
Advisor
Cheryl Cullen
Abstract
This review aims to identify evidence-based quality improvement strategies and practical operational solutions to boost pharmaceutical supply chain performance in tertiary care hospitals in the Caribbean. This integrative review synthesizes empirical and non-empirical sources related to pharmaceutical supply chain systems and is grounded in Lean Six Sigma methodologies and supply and demand theory. The articles reviewed, published between 2014 and 2025, were appraised using the Johns Hopkins Evidence-Based Practice Model. Key themes identified included Lean Six Sigma principles, with subthemes such as lean distribution focus, value stream mapping, and the DMAIC process. The supply and demand theme included factors in pharmaceutical inventory management and innovations in medication distribution. The supply chain performance index status highlighted current pressure index values, regulatory influences, supply chain disruption insights, internal process improvement, data inconsistency, and patient safety risks. The pharmaceutical supply chain challenges encompass inefficient distribution, systemic risks, and stock management issues, while collaboration and connectivity focus on prescribing technology and transport logistics. The findings align with Lean Six Sigma and supply and demand frameworks, highlighting that data-driven methodologies and process efficiency can address pharmaceutical supply chain challenges. These improvements promote health equity and enhance community well-being within the Caribbean’s social determinants of health framework.
Recommended Citation
Salandy, Lee Ann, "Efficient Pharmaceutical Supply Chain Management Strategies for Tertiary Care Hospitals in the Caribbean" (2025). Walden Dissertations and Doctoral Studies. 17488.
https://scholarworks.waldenu.edu/dissertations/17488
